Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOMINIC CARL FANO, D.O.
Active Sole ProprietorDR. DOMINIC CARL FANO, D.O. is a Family Medicine healthcare provider located in MOUNT CLEMENS, Michigan. NPI 1316387491 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MOUNT CLEMENS, MI
Registration Details
- NPI Number
- 1316387491
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2013 (13.094657445962 yrs)
- Last Updated
- Apr 12, 2021
- License
-
5101020631 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 HARRINGTON BLVD.MOUNT CLEMENS, MI, 480432920Browse MI providers · Browse ZIP 48043
- Phone
- 5864933727
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MOUNT CLEMENS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. ALEKSANDER A DOMICZEK | MD | 1427049683 |
| DR. JOSEPH THOMAS NAUGHTON | D.O. | 1205847175 |
| MRS. DONYELLE MOORE-BALDWIN | MD | 1093026262 |
| YLLI ALLA | D.O. | 1871809996 |
| VERONICA TAKOV | D.O. | 1316387533 |
| DR. GIACOMO PIERCE FOLDEN | D.O | 1215310073 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.